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AND SIGN the TENNCARE ELIGIBILITY VERIFICATION/REQUEST FOR RELEASE FORM. You must provide information about the deceased person and the deceased person’s spouse even though the spouse may have pre-deceased the decedent and the executor or estate representative must sign the request.. 2. PROVIDE ALL REQUESTED DOCUMENTATION IF YOU ARE REQUESTING AN EXEMPTION TO RECOVERY. 3. PROVIDE A COPY OF THE DECEDENT’S DEATH CERTIFICATE OR OTHER DOCUMENTATION AS INDICATED ON THE RELEASE. 4. PROVIDE A.

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